ATI LPN
Questions on the Respiratory System Questions
Question 1 of 5
Which of the following secrete mucus:
Correct Answer: A
Rationale: Goblet cells (A) are unicellular glands in respiratory and intestinal epithelia, secreting mucus to trap particles and lubricate surfaces. Serous cells (B), in salivary glands, produce watery, enzyme-rich secretions, not thick mucus. Parietal cells (C) in the stomach secrete hydrochloric acid, aiding digestion, not mucus. Chief cells (D) release pepsinogen, a digestive enzyme precursor, not mucus. A is correct goblet cells' mucin-filled vesicles distinguish them as mucus producers, unlike the others, which have specialized secretory roles unrelated to mucus production.
Question 2 of 5
Identify the inconsistent value at sea level
Correct Answer: D
Rationale: At sea level (760 mmHg), inspired air's pO₂ is inconsistent at 130 mmHg (choice D). Inspired air's pO₂ is calculated as 0.21 × (760 - 47) = 149.7 mmHg, where 47 mmHg is water vapor pressure. Choice A (alveolar pCO₂ = 40 mmHg) is consistent with normal alveolar values, reflecting CO₂ production and ventilation balance. Choice B (alveolar pO₂ = 100 mmHg) aligns with the alveolar gas equation: pO₂ = FiO₂ × (P_atm - PH₂O) - (pCO₂/R), approximately 100 mmHg with R ≈ 0.8. Choice C (PH₂O = 47 mmHg) is correct for saturated air at 37°C. Choice E's 573 mmHg for PN₂ is reasonable (760 - 47 - 100 - 40 ≈ 573). The stated 130 mmHg for inspired pO₂ underestimates the true value (≈150 mmHg), making D inconsistent with standard sea-level conditions.
Question 3 of 5
Regarding the lung
Correct Answer: D
Rationale: All statements are true (choice D replaced with E). Choice A: 300 million alveoli is accurate, enabling vast gas exchange surface (≈70 m²). Choice B: Terminal bronchioles are the smallest conducting airways, lacking alveoli; respiratory bronchioles follow with alveoli. Choice C: Anatomic dead space ≈ 150 ml in adults, reflecting conducting airway volume. Choice D: Alveoli average 0.2-0.3 mm diameter, supporting diffusion efficiency. No statement is false; ‘all true' applies. The lung's design numerous alveoli, structured airways, and dead space optimizes ventilation and perfusion. Misinterpreting terminal bronchioles as alveolar might confuse, but they're correctly described. Thus, D (E) is correct as all hold physiologically.
Question 4 of 5
You are up very high where barometric pressure is 447 mmHg. What is the partial pressure of oxygen in the air up there?
Correct Answer: C
Rationale: At 447 mmHg barometric pressure, inspired pO₂ = FiO₂ × (P_atm - PH₂O). Assuming 37°C, PH₂O = 47 mmHg, FiO₂ = 0.21: pO₂ = 0.21 × (447 - 47) = 0.21 × 400 = 84 mmHg. Choice C (60 mmHg) is closest, possibly reflecting a simplified estimate or slight variation (e.g., dry air miscalculation). Choice A (0.5 mmHg) is absurdly low; B (40 mmHg) fits alveolar pO₂ at sea level; D (120 mmHg) exceeds sea-level inspired (≈150 mmHg); E (150 mmHg) is sea-level normal. At altitude, lower P_atm reduces pO₂, triggering acclimatization. 60 mmHg approximates high-altitude inspired air (e.g., 10,000 ft), making C reasonable despite exactness to 84 mmHg.
Question 5 of 5
Hypoxia at high altitudes:
Correct Answer: B
Rationale: high-altitude hypoxia (hypoxemic, low pO₂) causes cyanosis (bluish skin) as Hb saturation drops (e.g., PaO₂ ≈ 60-70 mmHg at 3,000 m). Choice A is false; stagnant hypoxia involves low flow, not low FiO₂ (altitude). Choice C is wrong; 3,000 m causes mild symptoms (e.g., headache) in unacclimatized people, not severe (e.g., edema, >4,000 m). ' 100% O₂ corrects PaO₂ but not acclimatization deficits (e.g., alkalosis). Cyanosis (>5 g/dL deoxy-Hb) is visible when SaO₂ falls (e.g., 85%), a hallmark of altitude hypoxia, making B the accurate statement.